Candidate Requirement
We are looking for an experienced *E & M Medical Coder* to join our Revenue Cycle Management (RCM) team. The ideal candidate will have strong expertise in Evaluation & Management (E/M) coding, excellent knowledge of *CPT, ICD-10-CM, and HCPCS*, and a solid understanding of US healthcare billing and documentation guidelines. This role is critical in ensuring accurate coding, compliance, and timely reimbursement for our US healthcare clients. Key Responsibilities • Review and code E/M encounters (office/outpatient, hospital, emergency, consults, preventive visits, critical care) based on provider documentationsparkzinfotech • Apply current E/M coding guidelines (2024/2025) based on Medical Decision Making (MDM) and/or timesparkzinfotech • Ensure coding accuracy, completeness, and compliance with CMS, payer policies, and medical necessity • Validate records and verify charges with physicians when needed • Identify and resolve coding discrepancies, documentation gaps, and potential denials • Collaborate with billers, auditors, and providers to improve documentation quality • Stay updated with coding updates, payer guidelines, and regulatory changes • Participate in internal audits, quality checks, and productivity reviews • Maintain high productivity and accuracy standards as per company targets • Experience in US outpatient/primary care coding • Prior experience in an RCM company or healthcare provider setting • Familiarity with coding software/EHR/encoder tools • Strong analytical skills and attention to detail *Skills & Competencies* • Excellent understanding of medical terminology, anatomy, and physiology • Strong analytical and problem-solving skills • Good communication skills (written and verbal) • Ability to work independently and meet deadlines • High level of integrity and confidentiality
Technical Qualification
Medical Coding Certification (mandatory): • AAPC: CPC, COC, or CIC, OR • AHIMA: CCS or equivalentlinkedin+1
